Óleos de peixe e aterosclerose

Autores

  • José Manuel Silva Assistente Hospitalar Eventual de Medicina Interna, Hospitais da Universidade de Coimbra
  • José Brito Interno do Internato Complementar de Pneumologia, Hospitais da Universidade de Coimbra
  • Pedro Figueiredo Interno do Internato Complementar de Gastroenterologia, Hospitais da Universidade de Coimbra
  • Ávila Costa Assistente Hospitalar Graduado de Medicina Interna, Hospitais da Universidade de Coimbra
  • Políbio Serra e Silva Prof. Catedrático da Faculdade de Medicina de Coimbra, Serviço de Medicina ll dos Hospitais da Universidade de Coimbra

Palavras-chave:

óleos de peixe, ácidos gordos ome­ga 3, ácido eicosapentanóico, aterosclerose

Resumo

Estudos epidemiológicos demonstram uma signi­ ficativa correlação inversa entre o consumo de pei­xe e a doença aterosclerótica. Fracção importante dos óleos de peixe, os ácidos gordos omega 3, par­ ticularnente o ácido eicosapentanóico, parecem ser os mediadores dessa acção, que seria consequên­ cia de vários efeitos metabólicos, nomeadamente:

1) actividade hipolipemiante, diminuindo a síntese de triglicerídeos; 2) antiagregante plaquetar, devi­do à síntese de tromboxano A3 em detrimento do A2; 3) anti-inflamatória, pela diminuição da síntese de leucotrieno B4, um potente agente quimiotático de neutrófilos e monócitos, e aumento da síntese de leucotrieno B5; 4) antitrombótica, reduzindo os níveis de PAI-1 efibrinogénio; 5) melhoria da per­ fusão dos tecidos. O consumo de concentrados de óleos de peixe parece ser praticamente inócuo, com a hipotética excepção dos diabéticos, na medida em que poderá piorar o controlo glicémico.

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Publicado

31-03-1995

Como Citar

1.
Silva JM, Brito J, Figueiredo P, Costa Ávila, Serra e Silva P. Óleos de peixe e aterosclerose. RPMI [Internet]. 31 de Março de 1995 [citado 27 de Abril de 2024];2(1):33-8. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/2342

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